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SAN J O A Q U I N Environmental Health Department <br /> Corrective Action Statement <br /> RE:July 19,2022,Underground Storage Tank inspection report <br /> For each violation listed below,indicate if the violation has been corrected or will be corrected by a certain date. <br /> Also,describe what was done to correct the violation in the space provided below each violation. Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection. if you have any questions, <br /> please contact Stacy Rivera at(209)616-3043 or srivera@sjgov.org. <br /> BlackHawk Petroleum Inc.,5611 E WATERLOO RD,CERS ID:10180881,PR0231764 <br /> Violation#208-Failure to comply with the designated operator inspection requirements. <br /> ❑ This violation was corrected his violation will be corrected by(date): ql 1a� <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> d C) acv s <br /> Violation 9308-Failure of the leak detection equipment to have an audible and visual alarm. <br /> This violation was corrected ❑This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> 1hry�0\--ki +c\ VSs L066C'C\t--� <br /> TEi�A 0 1 C\C(') <br /> Violation#318-Failed to meet spill container requirements. <br /> ❑ This violation was corrected 0 This violation will be corrected by(date): <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> WG CNC- rS,x1�r 1<l9 a COtlkc,c jo Sc�,r <br /> Page 4 of 4 <br /> Rev 9/16/1020 <br /> 1868 E.Hazelton Avenue I Stockton,California 95205 1 T 209 468.3420 1 F 209 464-0138 www.sjgov.org/EHD <br /> F <br />